Candice Jane Child-Illum, CSW, MSW

NPI #1023670262 in Pleasant View, Utah

Provider Information

NPI Number: 1023670262
Entity Type: Individual
Name: Candice Jane Child-Illum, CSW, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: CSW, MSW
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 3149 N HIGHWAY 89 STE 200
City: Pleasant View
State: Utah
ZIP Code: 84404-1202
Phone: (801) 782-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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